Individual
MS. TRICIA A. LATIOLAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
10180 W HAPPY VALLEY PKWY STE 100, PEORIA, AZ 85383-1389
(623) 227-4585
Mailing address
15845 W ARROWHEAD DR, SURPRISE, AZ 85374-5631
(562) 307-3672
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11137
AZ
363A00000X
Physician Assistant
Primary
PA13211
CA
Other
Enumeration date
03/14/2011
Last updated
01/16/2026
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